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ADVANCED PERFORMANCE PHYSICAL THERAPY, PLLC

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Company Details

Name: ADVANCED PERFORMANCE PHYSICAL THERAPY, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 03 Jul 2000 (25 years ago)
Financial Date End: 31 Jul 2020
Date dissolved: 04 May 2020
Entity Number: 51384
Place of Formation: IDAHO
File Number: 51384
ZIP code: 83201
County: Bannock County
Principal Address: 333 N 18TH AVE D2 POCATELLO, ID 83201
Mailing Address: STE D2 333 N 18TH AVE POCATELLO, ID 83201-3358

Agent

Name Role Address
R LANCE MARSHALL Agent 874 E MADLEE, INKOM, ID 83245

National Provider Identifier

NPI Number:
1427072982

Authorized Person:

Name:
MR. ROBERT LANCE MARSHALL
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
No
Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Fax:
2082344805

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0003865545 2020-05-04
Annual Report 0003653277 2019-10-22
Annual Report 0001119893 2018-05-24
Annual Report 0001119892 2017-05-18
Annual Report 0001119891 2016-05-23

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Date of last update: 25 May 2025

Sources: Idaho Secretary of State